正念减压联合团体健康教育在糖尿病合并精神分裂症患者中的应用效果  

Application of Mindfulness-based Stress Reduction Combined with Group Health Education in Patients with Diabetes Mellitus and Schizophrenia

作　　者：谢海燕 黄珠晶 黄海涛 XIE Haiyan;HUANG Zhujing;HUANG Haitao(Department of Psychiatry,Neuropsychiatric Prevention and Treatment Institute,Fuzhou Second General Hospital,Fuzhou 350800,Fujian Province,China)

机构地区：[1]福州市第二总医院神经精神病防治院精神科,福州350800

出　　处：《中国实用乡村医生杂志》2025年第2期9-12,共4页Chinese Practical Journal of Rural Doctor

基　　金：福建省福州神经精神病防治院院内自然科学项目,项目编号:SYYN-202302。

摘　　要：目的探讨正念减压联合团体健康教育在糖尿病合并精神分裂症患者中的应用效果。方法研究纳入2023年6月-2024年2月福州市第二总医院神经精神病防治院收治的糖尿病合并精神分裂症患者60例,随机分为对照组和观察组各30例。对照组接受常规护理,观察组在此基础上增加正念减压联合团体健康教育。比较两组血糖控制情况、自我效能感、自我护理能力和护理满意率。结果干预后,观察组空腹血糖、餐后2 h血糖、胰岛素抵抗指数均低于对照组,而空腹C肽高于对照组,差异有统计学意义(P<0.05)。观察组自我效能感量表、自我护理能力量表评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论正念减压与团体健康教育联合应用于糖尿病合并精神分裂症患者,能进一步改善血糖控制效果,提升自我效能和自我护理能力,并获得更高的护理满意度。Objective To explore the application effect of mindfulness-based stress reduction combined with group health education in patients with diabetes mellitus and schizophrenia.Methods The study included 60 patients with diabetes and schizophrenia admitted to Neuropsychiatric Prevention and Treatment Institute of Fuzhou Second General Hospital from June 2023 to February 2024,and the patients were randomly divided into a control group and an observation group,with 30 cases in each group.The control group received routine care,while the observation group received additional mindfulness and stress relief combined with group health education additionally.The blood glucose control status,self-efficacy level,self-care ability,and nursing satisfaction rate between two groups were compared.Results After intervention,the fasting blood glucose,2-hour postprandial blood glucose,and insulin resistance index in the observation group were all lower than those in the control group,while the fasting C-peptide was higher than that in the control group(P<0.05).The general self-efficacy scale and exercise of self-care agency scale scores of the observation group were higher than those of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The combined application of mindfulness decompression and group health education in diabetes patients with schizophrenia can further improve the effect of blood sugar control,enhance my sense of efficacy and self-care ability,and achieve higher nursing satisfaction.

关 键 词：正念减压 团体健康教育 糖尿病 精神分裂症 效果 

分 类 号：R473.74[医药卫生—护理学]